“…There are also increasing concerns about HRQOL associated with HCC (5-7), while traditionally cancer outcomes (overall survival, disease free survival, time to disease progression, and other disease variables) remain essential. Consequently, several specific instruments for patients with HCC have been developed and are used in cancer clinical researches, including the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires for Hepatocellular Carcinoma, the QLQ-HCC18 (8,9), the Functional Assessment of Cancer Therapy (FACT) Hepatobiliary questionnaire (FACT-Hep) (10,11), and the Quality of Life Instrument for Patients with Liver Cancer QOL-LC (12,13). Of them, the QLQ-HCC18 is designed specifically for patients with HCC whereas the FACT-Hep for not only HCC but also pancreatic, biliary and metastatic liver cancer, and combined with the generic questionnaire QLQ-C30 to produce a completely QOL (equal to HRQOL in this article) assessment.…”